Individual provider Active NPI

Robin Ann Kundra, MD PHD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1982620100
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2003011035 Issued in MO
Practice address
114 N Taylor Ave
Saint Louis, MO 63108-2102
Phone
(314) 534-8600
Fax
(314) 652-8138
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2003011035 MO Primary

Addresses

Primary practice location

114 N Taylor Ave
Saint Louis, MO 63108-2102

Mailing address

114 N Taylor Ave
Saint Louis, MO 63108-2102
Phone (314) 534-8600

Other identifiers 1

IdentifierTypeStateIssuer
902464500MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1982620100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N TAYLOR AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082102",
            "telephone_number": "314-534-8600",
            "fax_number": "314-652-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N TAYLOR AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082102",
            "telephone_number": "314-534-8600",
            "fax_number": "314-652-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDRA",
        "first_name": "ROBIN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2003011035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902464500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.